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Analyze

Childhood Lead Poisoning

margauxf

 In 1991, the Public Health Service articulated a vision for primary prevention in Strategic Plan for the Elimination of Childhood Lead Poisoning, a departure from previous federal policy focused on finding and treating lead-poisoned children. This publication detailed a 15-year strategy for primary prevention and offered a cost-benefit analysis to demonstrate the monetized benefits of this approach. A strong national effort to follow this strategy developed but was eventually abandoned.

The organized campaign against universal screening began in California, where letters questioning the reported prevalence of elevated BLL began appearing in pediatric journals and newspapers. These letters acknowledged receiving editorial assistance from Kaiser Permanente Foundation Hospitals and argued that money spent on screening, treatment and abatement would be harmful to more worthy public health efforts. The AAP president took up this attack on universal screening as well, and efforts for universal screening were gradually eroded. 

Needleman identifies racism and the belief that lead poisoning “is a product of poor mothering, not of environmental pollution” as a driving factor shaping lead detection and prevention efforts (or the lack thereof) … “this weighting of personal choice or behavior over environment is a tool used to shift responsibility away from health authorities or polluters and onto the victim” (1875).

What is said at this event, by whom, and for what apparent purpose? How did others respond?

annika

Kingspan workers: Two workers from Kingspan, Lucas Hernandez and Israel Maldonado, detailed both their unsafe working conditions at Kingspan and the response from the company when they submitted complaints. Note that this conversation was moderated with questions from Ms. Meredith Schafer. 

Dr. Shahir Masri: Dr. Masri oversaw the air pollution monitoring at Kingspan. He used worker-collected pollution data to quantify PM2.5 levels at the plant. 

Rev. Terry LePage: Rev. LePage spoke on behalf of CLUE, a faith-based organization that has helped with Kingspan unionization efforts and written letters to Kingspan re: the pollution and safety hazard complaints.

Jose Rea: Mr. Rea spoke on behalf of MPNA-GREEN, a community group that donated the AtmoTubes used for air pollution data collection. 

How do you interpret or explain the observations recorded above?

annika

The lack of importance that Kingspan has placed on employee complaints about safe work environments suggests a lack of inbuilt methods (e.g., regular strict evaluation of workplace standards) of holding a company like Kingspan accountable for the health of their workers, despite the existence of workplace standards.

What ideas about equity, health, and justice filtered through this event?

annika

This event showed the very real ways in which large corporations directly profit from cutting corners in ways that hurt the health of their lowest-wage workers. The effort it takes to hold a company accountable for the health of their workers is immense, and while the groups present at this event are clearly making it happen, this accountability is not systematically enforced and requires individuals and relatively small organizations to impose justice.

What ideas about governance, community engagement, and civic responsibility filtered through this event?

annika
  • The need for multiple agents to commit to EJ changes like this, including many not directly affected by it. 

  • The power of both local and global community organization networks in creating change. 

  • Civic responsibility as a necessary catalyst for political change and attention to certain issues.

Who is present and what is noteworthy about their self-presentations and interactions?

annika

Attendees included: city council members, Kingspan workers, Greenpeace, Sierra Club, Climate Action Campaign. Notably, all the primary facilitators were white. One of the Kingspan workers required a Spanish-speaking interpreter. It was implied at one point that the workers were paid minimum wage, but I am not 100% sure of this.